Information
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Document No.
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Rig No:
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Site
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Conducted on
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Prepared by
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Location
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Personnel on site at time of Inspection
***NOTE*** this inspection report is to be considered uncontrolled unless printed out and original signatures of all participants are next to iPad signatures
Before entering site
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Is an Emergency Evacuation Point (Muster Point) sign visible?
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Warning signs posted and legible?
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Are access tracks clear of obstructions?
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Are vehicles reversed parked / parked to allow access?
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Rig set up level and stable?
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Refuelling vehicle parked in a safe position?
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Is the drill pad set out to allow emergency access and exit?
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Designated smoking area set up at least 10m away from drill hole?
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Is there communication on site (mine radio / mobile phone / sat phone / etc)?
Site Housekeeping
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Worksite is free from obstructions? (Slips, trips, fall hazards & rubbish)
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Is worksite rubbish being disposed of correctly (correct waste bins etc)?
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Is waste management book being used to record waste disposal?
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Tools & Equipment is being stored correctly?
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Walkways & Platforms clean & free of oil, grease & tools?
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Spill kit is on-site and readily accessible?
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Spill kit is adequately stocked?
Rig Emissions (dust, water & cutting control)
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Dust is being adequately suppressed where practical?
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Water & Cuttings are routed to sumps and are contained within the channels?
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Sumps are containing all water & cuttings ( no leaks/overflow)
Guarding
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Adequate guarding in place for all rotating engine/drivetrain components, exhausts etc?
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Adequate rod guarding (spin cage / rod fall protection / etc) in place and being used properly?
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Foot clamp guards in place?
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Interlocks are fitted and working?
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Sumps have bunding, barricading or some other form of guarding in place?
Fluid Leaks
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Are there any obvious fluid leaks from engine, drivetrain or hydraulic system including rod handler?
Fire Fighting Equipment
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Does the rig have a fire suppression system fitted?
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Is the system charged and ready for use
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Details
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Portable fire extinguishers on all vehicles?
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Fire extinguishers in current test & tag
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Are all portable fire extinguishers firmly secured?
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All persons on site have an understanding of how to use all the fire fighting equipment?
First Aid Equipment
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Are first aid kits easily accessible?
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Kits are stocked / clean and inspected?
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Are there trained first aiders on site?
"E" Stops and Alarms
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"E" Stop(s) have been checked and are all in working condition?
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Remote "E" stop(s) have been checked and in working condition?
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Mast raise and lower alarms working?
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Gas monitor used and in working condition?
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Bump test and calibration in date?
Lighting arrangements
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Is there lighting provided for night shift?
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Does the lighting tower have a current test & tag sticker/certificate?
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Is all the electrical cabling positioned/fastened in such a way that is safe from getting damaged?
Equipment Tag out & Isolation
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Do all the isolation/lock-out points have an identification sticker?
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Are correct procedures being followed when equipment needs to be isolated and/or tagged out?
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Do the isolation switches work?
Equipment Inspections
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Daily pre-starts for each vehicle is being conducted as required?
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Daily pre-starts for the rig is being conducted?
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Manufacturers recommended inspections are being completed within the correct timeframe? (as per the operators manual)
Servicing of Equipment
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Rig is being serviced as required?
High Pressure Hoses, Pressure vessels & Relief Valves
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Do all hoses appear to be structurally sound through a visual inspection?
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Do all hose fittings appear to be structurally sound through a visual inspection?
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Do all hose fittings appear to be fitted correctly?
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Are any of the fittings or hoses showing signs of leakage?
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Are high pressure lines barricaded / delineated?
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Are whipchecks placed on all pressure hoses and a secured correctly (2 x shackles to 2 x separate anchor points)?
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Are pressure vessels registered? (If applicable)
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Are pressure vessels tested and tests are current?
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Pressure relief valves are tested and operational?
Winches, Ropes & Rod/Plug threads
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Is lifting register available and in date?
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Main winch rope is free from bird nesting, kinks, frays, twists etc?
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Wireline rope is free from bird nesting, kinks, frays, twists etc?
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Haul plug is in good operating condition?
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Plugs and rods have serviceable threads?
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Sheaves & Blocks are in good condition?
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Shackles are rated and in good condition?
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Clam shell rope approx 2/3 the length of rods / casing and in good condition?
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Safety strop for overshot in place and serviceable?
Visual Inspection
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Walkway railings are secure and in a serviceable condition?
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Walkway steps/rungs have non-slip treads?
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Walkways have securing pins and are being used?
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Rod handler is in good operating condition?
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Foot clamps are operating correctly?
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Foot clamp jaws are secured correctly?
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Breakout tool is in good serviceable condition?
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Slips table is in good operating condition?
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Stilsons are in good working condition?
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Visual inspection of the mast; are there any?<br>* cracks, warps, bends or other visual defects?
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Mast locks are in place and in good condition?
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Hydraulic jack legs are in good condition?
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Hydraulic jack legs have fluid leaks?
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Work platforms are secured and free from obstructions?
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Mandatory, Caution, Prohibition, Danger, Fire, First Aid, Traffic, HAZCHEM signage is present, visible and legible at all required locations?
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Dunnage (jack blocks) in good condition?
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Is VLC equipment compliant and in good condition?
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Is there a crew member on site who is trained, competent and authorised to use VLC?
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All pumps are diesel not petrol motors?
Gauges and Controls
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All gauges are working?
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All gauges are easily readable?
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All controls are in good working order?
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All controls are easily identifiable?
Power/Hand tools
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Equipment seems to be in good working order when visually inspected?
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Power cords/plugs are in good condition?
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Electrical tools have a current test & tag sticker/certificate?
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Tools are stored correctly when not in use?
Documentation
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Have all workers been inducted & the correct paperwork has been completed for the site?
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Are all contractors, visitors or client representatives inducted for the site?
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Are toolbox meetings held as required?
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Are there records of hazard observations?
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Are there records of per-shift huddles?
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Are the company policies, procedures (SCP), SWP's on-site?
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Are SWP's being referenced / reviewed?
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Are MSDS documents available for all products on-site?
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Are MSDS documents current?
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Are all persons on-site aware of where to find all the documentation?
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Workers are competent in filling out the required paperwork?
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Do all vehicles have Equipment Compliance stickers?
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Is there an up to date Emergency Response Sheet including contact numbers available at the drill pad?
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Are JSA pads available at the drill pad?
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Are SLAM's / Take 5's / Etc being completed?
Personal Hygiene
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Fresh, clean and cool drinking water is available?
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Food is being stored in a hygienic manner?
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Hand cleaning products are available?
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Waste food products are being disposed of in the correct manner?
Personal Protective Equipment (PPE)
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Site has adequate supplies of company issued PPE?
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Is further PPE required to ensure safety on this site?
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Workers are using the supplied PPE?
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When not in use, is PPE being stored correctly?
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Disposable PPE is being discarded correctly? (gloves, earplugs, etc in bins)
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Is UV protection being used? (hats, sunscreen, long sleeve shirt/pants)
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Crew workwear (long sleeve shirts & pants) in good condition
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Sleeves rolled down, buttoned up and no loose clothing?
Personnel Attitudes and Training
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All personnel on-site are displaying a positive attitude towards Health, Safety & Environmental protocols?
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Do you feel that the crew have identified all the hazards on site?
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Does driller have Cert III ?
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Does driller have S123 and G2?
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Do offsiders have Cert II ?
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Does the driller have "conduct lifting operations" ?
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Do all crew have "service mine plant and equipment" ?
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Do all crew have "fit and adjust wheels" ?
Comments
Site Supervisors comments
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Add comments:
- yes
- no
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Comments:
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Name & Sign
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Name & Sign
Client Representative comments:
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Add comments:
- yes
- no
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Comments:
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Name & Sign
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Name & Sign
Safety Advisor comments:
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Add comments:
- yes
- no
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Comments:
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Name & Sign
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Name & Sign
Company Management comments:
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Add comments:
- yes
- no
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Comments:
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Name & Sign
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Name & Sign
Actions
Issues Raised
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Issues raised that need actioning:
Issue:
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Issue status:
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Assigned to:
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Completion date:
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Issue has been closed out appropriately:
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Time and date action closed out
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ID of person closing out action